MCKENNIZIE BOODRAM LAT
NPI 1033586003
Contractor in Desoto, TX
About Mckennizie Boodram Lat NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCKENNIZIE BOODRAM LAT (NPI 1033586003) is an individual contractor provider in Desoto, Texas, licensed in Texas (AT6271) and active in the NPI registry since August 2015.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mckennizie Boodram's NPI number?
The NPI number for Mckennizie Boodram is 1033586003. It was assigned to this individual provider in the NPPES registry on August 26, 2015.
Where is Mckennizie Boodram located?
Mckennizie Boodram practices at 1525 Mountain Laurel Ln, Desoto, TX 75115. The listed phone number is (469) 260-8872.
What is Mckennizie Boodram's specialty?
The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.
When was this NPI record last updated?
The NPPES record for Mckennizie Boodram was last updated on August 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.